Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581Sex Differences and Symptoms of Acute Coronary Syndrome119124ENTaherehNajafi GhezeljehDepartment of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Irannajafi.t@iums.ac.irMesfinKassaye TessmaMedical Statistics Unit, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.AzitaEmamiSchool of Nursing, University of Washington, Seattle, United State of America.10.7508/jccnc.2015.03.001Background: The purpose of this study was to examine symptoms of acute coronary syndrom (ACS) with resect to sex differences.
Methods: This comparative cross-sectional study was performed on patients older than 20 years with ACS who were hospitalized at cardiac wards. Sampling was performed through stratified sampling on the basis of sex. Five hundred male and female patients met all eligiblity criteria. The questionnaire included demographic, disease characteristics, and the Iranian version of the accompanying symptom checklist. Data collection completed over one year. SPSS version 21 was used for data analyses by using Chi-square test, independent t test and Multiple logistic regression. The level of significance was specified at 0.05.
Results: Men reported tiredness (77.2%), weakness (72.4%), diaphoresis (70.0%) and anxiety (83.6%) as their most frequent symptoms. For women, the most frequently chosen symptoms were anxiety (94.8%), tiredness (90.0%), palpitation (85.2%), and weakness (82.8%). Statistically significant differences were observed between women and men with regard to symptoms. Multiple logistic regression indicated that sex was the most important explanatory variable, which is independently associated with different symptoms.
Conclusion: According to the results, significant differences were observed between women and men regarding ACS symptoms. The major implication of this investigation is the need for accurate cardiac assessment according to sex. Further research should investigate the nature and consequences of sex differences in language use of initial presentation with coronary symptoms, through the referral process.Acute coronary syndrome, Gender, Symptomshttp://jccnc.iums.ac.ir/article-1-38-en.htmlhttp://jccnc.iums.ac.ir/article-1-38-en.pdf Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581Social Marginalization of Patients with Ostomy: A Content- Based Analysis125131ENNasrinSarabiTarbiat Modares Universityn.sarabi@modares.ac.irHasanNavipourDepartment of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.NAVIPORH@modares.ac.irEasaMohammadiTarbiat Modares Universitymohamade@modares.ac.ir10.7508/jccnc.2015.03.002Background: A few studies have addressed the impact of stoma on patients’ social life. This study aimed to understand the problems leading to social isolation of patients undergoing ostomy.
Methods: A conventional qualitative content analysis by unstructured interviews was conducted on 27 patients with intestinal or urinary diversion ostomy recruited from the Iranian Ostomy Association (IOA) with purposive sampling since March to October.
Results: The findings showed some concerns after ostomy. These concerns lead to patient’s isolation in 4 main categories of “sense of exclusion”, “helplessness in controlling unpleasant side effects”, “weakness in informing patients”, and “ no support”.
Conclusion: Educational, financial, and cultural support of the patients undergoing ostomy can prevent their social.Content analysis, Ostomy, Social isolation, Qualitative researchhttp://jccnc.iums.ac.ir/article-1-49-en.htmlhttp://jccnc.iums.ac.ir/article-1-49-en.pdf Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581The Relationship between Nurses’ Organizational Commitment and Services Quality133138ENAmirashkanNasiri pourDepartment of Health Services Administration, Science and Research Branch, Islamic Azad University, Tehran, Iran(Corresponding Author)*omid.khosravizadeh@gmail.comPouranRaeissiDepartment of Health Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iranomid.khosravizadeh@gmail.comAmirOmraniDepartment of Health Management, School of Health Management and Information Sciences, International Campus, Iran University of Medical Sciences, Tehran, Iran.Omrani_amir@yahoo.comOmidKhosravizadehHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iranomid.khosravizadeh@gmail.comSamiraAlirezaeiDepartment of Health Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.raeissi2009@yahoo.com10.7508/jccnc.2015.03.003Background: Organizational commitment and its significant impact on the job satisfaction and performance has been the subject of many studies. Regarding the importance of organizational behavior and its role in service quality, the purpose of this study was to explore the relationship between nurses’ organizational commitment and hospital services in order to improve its quality.
Methods: This study was a cross sectional survey and a total of 149 nurses and 237 patients from inpatient wards of hospitals affiliated to Tehran Social Security Organization were selected through cluster sampling. To collect data, two standard questionnaires (organizational commitment and quality of service) were used. Statistical analysis was performed using Spearman and Pearson correlation test
Results: Our findings indicated that the nurses’ organizational commitment was moderate (x=3.02 out of 5) and service quality was higher than average, Continuance (r=0.3, P=0.04), affective (r=0.33, P=0.03), normative commitment (r=0.34, P=0.05), and overall commitment (r=0.35, P=0.04) were significantly related to total service quality.
Conclusion: The enhancement of normative commitment through emphasis upon organizational values and recruitment, as well as enhancement of continuance commitment through career promotion methods and equal assessment will improve the service quality in hospitals.Organizational commitment, Service quality, Hospitalized patients, Commitment, Nurse’s commitmenthttp://jccnc.iums.ac.ir/article-1-46-en.htmlhttp://jccnc.iums.ac.ir/article-1-46-en.pdf Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581The Relationship of Type A Personality, Sensation Seeking Trait with General Health among Firefighters in Tehran City139144ENAnahitaKhodabakhshi KoolaeeDepartment of Counseling and Psychology, Khatam University, Tehran, Iran.anna_khodabakhshi@yahoo.comMaryamHassani Kandsar10.7508/jccnc.2015.03.004Background: One of the conditions affecting mental health is working condition which should be considered more. Work-related stress can impair mental health. Firefighting because of exposure to hazardous agents and risky activities is a stressful and hard job. This research was conducted to investigate the relationship of type A personality and sensation seeking trait with
general health among firefighters in Tehran City.
Methods: The present research is a descriptive survey method. The study population comprised all firefighting staff of Tehran City in 2013-2014. A total of 150 firefighters were chosen by cluster sampling method. Three questionnaires were used in this study: Zuckerman’s sensation seeking scale (1979), type A personality scale Lichtenstein (1989), and general health questionnaire (GHQ) (1979). The results of questionnaires were analyzed with the Pearson correlation and the multivariate stepwise regression. SPSS16 software was used for data analysis.
Results: The findings of the current research indicated that there is a positive and significant relationship between type A personality (r=0.672), sensation seeking (r=0.180) and general health (P<0.05). The mental health variable could be predict the intercept of both variables Tape A personality and sensation seeking (Reg=24.202, P<0.0001).
Conclusion: According to the results of the study, there is relationship between type A personality and sensation seeking with general health among Tehran firefighters who are susceptible to mental pressure.Firefighter, Type A personality, Sensation, healthhttp://jccnc.iums.ac.ir/article-1-32-en.htmlhttp://jccnc.iums.ac.ir/article-1-32-en.pdf Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581The Perceived Problem Solving Skill of Iranian Nursing Students145150ENZeinabMoshirabadiDepartment of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.NaiemehSeyedfatemiNursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.nseyedfatemi@yahoo.comLeiliBorimnejadDepartment of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.HamidHaghaniDepartment of Statistics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.10.7508/jccnc.2015.03.005Background: Today’s nursing graduates value ability to creatively solve problems and make decisions, as these skills assist hem with recognizing and evaluating situations that require prompt attention. This study aimed to determine and compare nursing student’s perceived levels of own problem solving skills in various years of their 4-year program.
Methods: This is a cross-sectional study. All undergaraduate nursing students (350) included in this study. A total of 322 undergraduate nursing students participated in this study. The study setting was Nursing School of Iran University of Medical Sciences, Tehran, Iran. The problem solving inventory (PSI), a widely used measure to assess one’s perceived ability, was used for data collection. Low scores indicated the strong judgment ability and high scores a weak judgment ability. Students involved in the study signed the informed consent forms.
Results: Findings showed that the mean score of total problem solving skill was 89.52±21.58. The mean score of this skill in fourth year students (84.18±27.47) was less than other students i.e. the fourth year (senior) students judged their own problem solving abilities stronger than other students.
Conclusion: Educating should help students reach the high levels of problem solving skills by allowing them to acquire and practice these abilities in the field. Nursing students with advanced problem solving skills are essential for this changing society.Problem solving, Nursing student, Decision makinghttp://jccnc.iums.ac.ir/article-1-47-en.htmlhttp://jccnc.iums.ac.ir/article-1-47-en.pdf Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581Evaluation of the Quality of Life among the Patients Undergoing Coronary Artery Bypass Grafting151157ENEzatJafar JalalDeptartment of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.ejalal2005@yahoo.comRezaNabiamjadDepartment of Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.rezaamjad8504@gmail.comMohamadtaghiSafdariDepartment of Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.mtsafdari@yahoo.comDavodRasouliDepartment of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.Davod Rasouli@yahoo.comHamidHaganiDepartment of Statistics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.haghani511@yahoo.com10.7508/jccnc.2015.03.006Background: The coronary artery bypass grafting (CABG) is performed to completely or partially relieve the symptoms of coronary heart disease (CHD). One of the most important goals of this operation is the improvement of quality of life (QoL). The data obtained on healthrelated quality of life (HRQoL) represents the functional limitations and the alleviation of symptoms among patients. Many factors influence HRQoL, including age at the time of surgery, left ventricular condition, record of heart stroke, type and the number of grafts, and so on. The purpose of the study was to examine the HRQoL and its related factors after CABG among the patients referring to selected therapeutic-educational centers of Tehran University of Medical Sciences.
Methods: Cross sectional and descriptive-correlation on 140 patient by using the purposive sampling method, who had undergone CABG in the last 4 months, participated in this research. The 36-item short-form (SF-36) questionnaire was used in this study to evaluate the disease and its related factors. The data have been collected through a reliable and valid questionnaire of life quality related to health (SF-36) then were analyzed using SPSS.11.5 and descriptive statistics and paired t-test, one wayANOVA test and Pearson correlation were use as well.
Results: The findings indicated that age (P=0.000), body mass indexBMI (P=0.000), economic status (P=0.000), employment (P=0.012, P=0.016, P=0.007 on total, Physical Component Scale (PCS) and Mental Component Scale (MCS) respectively), prior myocardial infarctionmyocardial infarction (MI) (P=0.000), suffering from chronic disease (P=0.000), New York Heart Association (NYHA) (P=0.000) and Ejection Fraction (EF) (P=0.012, P=0.016, P=0.007 on PCS, MCS, respectively) had significant effect on the physical and the psychological dimensions and the total QoL. Besides, gender had a significant effect on QoL with regard to the psychological dimension (P=0.015), andall of them were related Quality Of Life (QoL) regarding the physical dimension (P=0.23). Finally, educational level had a significant effect on QoL with regard to the physical dimension (P=0.31).
Conclusion: The findings indicated that the aforementioned factors relate patients’ QOL, which should draw the attention of the health system.Coronary artery, Bypass graft, Quality of life health related, Undergoing, Physical Component scale, Mental component scalehttp://jccnc.iums.ac.ir/article-1-39-en.htmlhttp://jccnc.iums.ac.ir/article-1-39-en.pdf Iran University of Medical SciencesJournal of Client-Centered Nursing Care247641322476413213201581Prevalence of Parental Postnatal Depression in Fathers and Its Relationship with Demographic Characteristics159164ENZahraAhmadiDepartment of Community Health Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.ahmadizahra385@yahoo.comSaraJanmohammadiEftekharsadatHajkazemiDepartment of Community Health Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.10.7508/jccnc.2015.03.007Background: Childbirth brings many changes to family and fathers who are at risk of depression.During this period, fathers face a lot of challenges and several new roles. Negative effects of paternal postpartum depression (PPND) affect arital/partner relationships, infant bonding, and child development. This study aimed to investigate the prevalence of PPND and its relationship with some individual characteristics.
Methods: This research is a descriptive cross-sectional study. The statistical population was all literate men whose wives had recently given birth to a child. The method of sampling was consecutive technique. A total of 328 men were recently become fathers. All samples completed the demographics questionnaire during their wives’ hospitalization after delivery. Then 8 weeks
later, they completed Edinburgh questionnaire at home or hospital. Data were analyzed by Chisquare test (using SPSS software version 14).
Results: The findings revealed that 59.8% of the fathers had postpartum depression, and depression rate was higher in the age range of 30-39 years (65.5%) (P=0.202). The depression was more in men who were low-educated (61.8%) and whose partners were housewives (59.4%). There is a significant correlation between men’s employment and depression (P=0.018). The depression was more in unemployed men; therefore, bad economic situation can be a reason for severe depression (65.5%).
Conclusion: Considering high prevalence parental postpartum depression and its multifactorial nature, dealing with each effective factor can decrease the probability of parental postpartum depression. Also, its prompt diagnosis and treatment decreases the consequences of this problem in mother, infant, and family and improves family performance and quality of life.Parental postpartum depression, Iranhttp://jccnc.iums.ac.ir/article-1-52-en.htmlhttp://jccnc.iums.ac.ir/article-1-52-en.pdf